대구 지하철 화재 사고 부상자들의 외상 후 스트레스 장애 : 예측 인자에 대한 전향적 연구

Abstract

Objectives：The purpose of this study was to determine the predictors of PTSD in subway fire accident survivors. Methods：Subjects consisted of 129 survivors from the Daegu subway fire accident. The 129 subjects were registered at April, 2003, which was 2 months after the accident, and 49 of them were followed up from June to November 2004. Subjects were assessed at 2 months and 18 months after the accident. All participants completed BDI-II, SCL-90-R, MMPI, PCL-C, STAI-S, STAI-T and IES at the two time points, respectively. CAPS was only administered in the follow-up assessment. Statistical analysis was performed using Binary Logistic regression with SPSS 12.01. Results：Only the BDI-II total scores at 2 months significantly predicted PTSD at 18 months. Other measures did not significantly predict PTSD. Conclusions：These findings suggest that high BDI-II total scores at the initial assessment may be regarded as a major predictor of PTSD. Accordingly, early treatment intervention may serve to prevent the chronicity of PTSD among accident survivors. (J Korean Neuropsychiatr Assoc 2007;46(1):79-86)